Carpal tunnel syndrome.

摘要: Carpal tunnel syndrome is the commonest entrapment neuropathy and due to combined compression traction on median nerve at wrist. It often idiopathic. Although spontaneous resolution possible, usual natural evolution slow progression. Diagnosis mainly clinical depending symptoms provocative tests. An electromyogram recommended preoperatively in cases of work-related disease. Medical treatment indicated early or with no deficit consists steroid injection canal a night splint neutral wrist position. Surgical by section flexor retinaculum resistance medical treatment, acute cases. Mini-invasive techniques such as endoscopic mini-open approaches carpal release higher learning curves are justified shorter functional recovery time compared classical surgery, but identical long-term results. The choice depends surgeon's preference, patient information, stage severity, etiology availability material. Results satisfactory 90% Nerve severity well general factors. Recovery force takes about 2-3 months after disappearance 'pillar pain'. This operation has benign reputation 0.2-0.5% reported neurovascular complication rate.